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Item type Presentation

Title Development of Assessment Sheet of Older Adults WhoRelocate to a Recovery Phase Rehabilitation Ward

Authors Komatsu, Misa; Otsuka, Shizuka; Hamahata, Akiko;Nakamura, Megumi

Downloaded 7-Jul-2018 15:18:38

Link to item http://hdl.handle.net/10755/335318

# 65657

Purpose

・In current healthcare in Japan, hospitalized

patients have more serious conditions and

hospital stays are becoming shorter.

・Older adults with health problems who cannot

live independently at home usually decide to

relocate to a recovery phase rehabilitation

ward.

・The purpose of this study was to develop an

assessment sheet for use during relocation

to a recovery phase rehabilitation ward in

Japan.

Development of Assessment Sheet of Older Adults

Who Relocate to a Recovery Phase Rehabilitation Ward

○Misa Komatsu 1), Akiko Hamahata 2) , Megumi Nakamura 2), Shizuka Otsuka 2)

1)Yokkaichi Nursing and Medical Care University,

2) Asahi University School of Health Sciences Department of Nursing

Background and

Personal factors

Relocation

Related Factors

Physical and Social

Environmental

Factors

Cognitive

Appraisal

Outcome

of

Relocation

Tasks for Life Integration

Resolution of Unrecognized Problems

Support

Adaptive

Tasks

Coping

Skills

Figure1 A typical model for understanding relocations of the health-care facility for

elderly in Japan (Komatsu et al , 2007)

Methods

・A Relocation Assessment Sheet (Assessment Sheet) was developed with reference to this model and included questions on constipation

and insomnia, which readily appear after relocation, especially among Japanese older patients.

・Five of the 43 questions on the Assessment Sheet were on background and personal factors.

・The other 38 questions were set up as a scale to understand whether or not an older adult had adapted during relocation.

・The subjects for analysis were 336 people for whom there was no missing data among the 371 Assessment Sheets.

Results

・The mean age of the older adults who

had relocated was 81.2±6.4 years,

and many were women (67.3％).

・About half of the subjects had

dementia (46.5％), which was mild

(27.4％), moderate (4.6％), or severe

(14.5％).

・A large number were the first

relocation to a recovery phase

rehabilitation ward (85.1％).

Discussion

・The older adults who were the subjects of this study had a high mean age, and many had dementia. For many it was also their first time

to relocate to a recovery phase rehabilitation ward and thus for these older adults relocation was a large environmental change.

・Constipation and depressive symptoms appeared in some subjects after the relocation, and attention should be paid to these symptoms

as signs of maladaptation in older adults.

・Focusing on words showing such cognition in older adults and understanding the feelings of the individual is thought to be important.

・Nurses need to recognize anew that they are persons these older adults rely on, and fulfill the role of resolving issues on behalf of these

older adults.

Conclusion

・The Assessment Sheet used in this study has reliability as a tool that shows adaptation in older adults. It also showed the characteristics

of relocating older adults, suggesting that it can be a useful tool in understanding relocating older adults.

Table1 The characteristics of the older adults who had relocated to the recovery

phase rehabilitation wards

Physical Environmental Factors constipation 162 (48.2)

depression 63(18.8)

Social Environmental Factors having conversations with nurses 219(65.2)

Cognitive Appraisal “putting up with life in the hospital” 87(25.9)

Adaptive Tasks “I want to go home” 76(22.6)

Coping Skills “seeking help from the nurse” 203(60.4)

Tasks for Life Integration expressed worries or anxiety 42(12.5)

Support nurses 28(38.1)

family members 164(48.8)

Resolution of Unrecognized Problems nurses resolving physical issues 119(35.4)

n（％）